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Individual

ALLAN W PERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1808 VERDUGO BLVD, SUITE 118, GLENDALE, CA 91208-1477
(818) 790-0385
(818) 790-4153
Mailing address
1808 VERDUGO BLVD, SUITE 118, GLENDALE, CA 91208-1477
(818) 790-0385
(818) 790-4153

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G43094
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G430940
CA
Enumeration date
08/31/2006
Last updated
10/04/2010
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